Individual
PALAK PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 JACKSON PL, MOONACHIE, NJ 07074-1212
(201) 709-4149
Mailing address
57 JACKSON PL, MOONACHIE, NJ 07074-1212
(201) 709-4149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00311700
NJ
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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